HESIPNEXITEXAMV3110z z z z z z
QUESTIONS
ANDANSWER(S) z
1. Anz adultz clientz experiencesz az gasolinez tankz firez whenz ridingz az motorcyclez andz isz admittedz
toz thez emergencyz departmentz (ED)z withz fullz thicknessz burnsz toz allz surfacesz ofz bothz lowerz
extremities.z Whatz percentagez ofz bodyz surfacez areaz shouldz thez nursez documentz inz thez
electronicz medicalz recordz (EMR)?
• 9z %
• 18z %
• 36z %
• 45z %
2. Azclientz withz hyperthyroidismz iszreceivingz propranololz (Inderal).z Whichz findingz indicatesz
thatz thez medicationz isz havingz thez desiredz effect?
• Decreasez inz serumz T4z levels
• Increasez inz bloodz pressure
• Decreasez inz pulsez rate
• Goiterz noz longerz palpable
3. Anz olderz malez clientz withz typez 2z diabetesz mellitusz reportsz thatz hasz experiencesz legsz
painz whenz walkingz shortz distances,z andz thatz thez painz isz relievedz byz rest.z Whichz clientz
behaviorz indicatesz anz understandingz ofz healthcarez teachingz toz promotez morez effectivez
arterialz circulation?
• Consistentlyz appliesz TEDz hosez beforez gettingz dressedz inz thez morning.
• Frequentlyz elevatedz legsz thoroughz thez day.
,• Inspectz thez legz frequentlyz forz anyz irritationz orz skinz breakdown
• Completelyzstopzcigarette/zcigarzsmoking.
4. Az communityz healthz nursez isz concernedz aboutz thez spreadz ofz communicablez diseasesz
amongz migrantz farmz workersz inz az ruralz community.z Whatz actionz shouldz thez nursez takez toz
promotezthez successz ofz az healthcarez programz designedz toz addressz thisz problem?
• Establishz trustz withz communityz leadersz andz respectz culturalz andz family
5. Thez nursez performsz az prescribedz neurologicalz checkz atz thez beginningz ofz thez shiftz onz az
clientz whoz wasz admittedz toz thez hospitalz withz az subarachnoidz brainz attackz (stroke).z Thez
client’sz Glasgowz Comaz Scalez (GCS)z scorez isz 9.z Whatz informationz isz mostz importantz forz thez
nursez toz determine?
• Thez client’sz previousz GCSz score
• Whenzthez client’szstrokez symptomszstarted
• Ifz thez clientz isz orientedz toz time
• Thezclient’sz bloodzpressurez andzrespirationz rate
6. Thez chargez nursez inz az criticalz carez unitz isz reviewingz clients’z conditionsz toz determinez whoz
isz stablez enoughz toz bez transferred.z Whichz clientz statusz reportz indicatesz readinessz forz
transferz fromz thez criticalz carez unitz toz az medicalz unit?
• Chronicz liverz failurez withz az hemoglobinz ofz 10.1z andz slightz bilirubinz elevation
7. Basedz onz principlesz ofz asepsis,z thez nursez shouldz considerz whichz circumstancez toz bez sterile?
• Onez inch-z borderz aroundz thez edgez ofz thez sterilez fieldz setz upz inz thez operatingz room
• Az wrappedz unopened,z sterilez 4x4z gauzez placedz onz az dampz tablez top.
• Anz openz sterilez Foleyz catheterz kitz setz upz onz az tablez atz thez nursez waistz level
, • Sterilez syringez isz placedz onz sterilez areaz asz thez nursez richesz overz thez sterilez field.
8. Anz unlicensedz assistivez personnelz (UAP)z reportsz thatz az client’sz rightz handz andz fingersz
spasmsz whenz takingz thez bloodz pressurez usingz thez samez arm.z Afterz confirmingz thez presencez
ofz spamsz whatz actionz shouldz thez nursez take?
• Askzthez UAPz toz takez thez bloodz pressurez inz thez otherz arm
• Tellz thez UAPztozusez azdifferentzsphygmomanometer.
• Reviewzthez client’sz serumz calciumz level
• AdministerzPRNz antianxietyz medication.
9. Az 56-years-oldz manz shareszwithz thez nursez thatz hez isz havingz difficultyz makingz decisionz
aboutz terminatingz lifez supportz forz hisz wife.z Whatz isz thez bestz initialz actionz byz thez nurse?
• Providez anz opportunityz forz himz toz clarifyz hisz valuesz relatedz toz thez decision
• Encouragez himz toz sharez memoriesz aboutz hisz lifez withz hisz wifez andz family
• Advisez himz toz seekz severalzopinionsz beforez makingz decision
• Offerztoz contactz thez hospitalz chaplainz orz socialzworkerz tozofferz support.
10. Az clientz isz beingz dischargedz homez afterz beingz treatedz forz heartz failurez(HF).z Whatz
instructionz shouldz thez nursez includez inz thisz client’sz dischargez teachingz plan?
• Weighzeveryzmorning
• Eatz az highz proteinz diet
• Performz rangezofzmotionz exercises
• Limitz fluidz intakez toz 1,500z mlz daily
11. Az womanz justz learnedz thatzshez wasz infectedz withz Heliobacterz pylori.z Basedz onz thisz
finding,z whichz healthz promotionz practicez shouldz thez nursez suggest?
• Encouragez screeningz forz azpepticz ulcer
12. Az clientz whoz recentlyz underwearz az tracheostomyz isz beingz preparedz forz dischargez toz home.
QUESTIONS
ANDANSWER(S) z
1. Anz adultz clientz experiencesz az gasolinez tankz firez whenz ridingz az motorcyclez andz isz admittedz
toz thez emergencyz departmentz (ED)z withz fullz thicknessz burnsz toz allz surfacesz ofz bothz lowerz
extremities.z Whatz percentagez ofz bodyz surfacez areaz shouldz thez nursez documentz inz thez
electronicz medicalz recordz (EMR)?
• 9z %
• 18z %
• 36z %
• 45z %
2. Azclientz withz hyperthyroidismz iszreceivingz propranololz (Inderal).z Whichz findingz indicatesz
thatz thez medicationz isz havingz thez desiredz effect?
• Decreasez inz serumz T4z levels
• Increasez inz bloodz pressure
• Decreasez inz pulsez rate
• Goiterz noz longerz palpable
3. Anz olderz malez clientz withz typez 2z diabetesz mellitusz reportsz thatz hasz experiencesz legsz
painz whenz walkingz shortz distances,z andz thatz thez painz isz relievedz byz rest.z Whichz clientz
behaviorz indicatesz anz understandingz ofz healthcarez teachingz toz promotez morez effectivez
arterialz circulation?
• Consistentlyz appliesz TEDz hosez beforez gettingz dressedz inz thez morning.
• Frequentlyz elevatedz legsz thoroughz thez day.
,• Inspectz thez legz frequentlyz forz anyz irritationz orz skinz breakdown
• Completelyzstopzcigarette/zcigarzsmoking.
4. Az communityz healthz nursez isz concernedz aboutz thez spreadz ofz communicablez diseasesz
amongz migrantz farmz workersz inz az ruralz community.z Whatz actionz shouldz thez nursez takez toz
promotezthez successz ofz az healthcarez programz designedz toz addressz thisz problem?
• Establishz trustz withz communityz leadersz andz respectz culturalz andz family
5. Thez nursez performsz az prescribedz neurologicalz checkz atz thez beginningz ofz thez shiftz onz az
clientz whoz wasz admittedz toz thez hospitalz withz az subarachnoidz brainz attackz (stroke).z Thez
client’sz Glasgowz Comaz Scalez (GCS)z scorez isz 9.z Whatz informationz isz mostz importantz forz thez
nursez toz determine?
• Thez client’sz previousz GCSz score
• Whenzthez client’szstrokez symptomszstarted
• Ifz thez clientz isz orientedz toz time
• Thezclient’sz bloodzpressurez andzrespirationz rate
6. Thez chargez nursez inz az criticalz carez unitz isz reviewingz clients’z conditionsz toz determinez whoz
isz stablez enoughz toz bez transferred.z Whichz clientz statusz reportz indicatesz readinessz forz
transferz fromz thez criticalz carez unitz toz az medicalz unit?
• Chronicz liverz failurez withz az hemoglobinz ofz 10.1z andz slightz bilirubinz elevation
7. Basedz onz principlesz ofz asepsis,z thez nursez shouldz considerz whichz circumstancez toz bez sterile?
• Onez inch-z borderz aroundz thez edgez ofz thez sterilez fieldz setz upz inz thez operatingz room
• Az wrappedz unopened,z sterilez 4x4z gauzez placedz onz az dampz tablez top.
• Anz openz sterilez Foleyz catheterz kitz setz upz onz az tablez atz thez nursez waistz level
, • Sterilez syringez isz placedz onz sterilez areaz asz thez nursez richesz overz thez sterilez field.
8. Anz unlicensedz assistivez personnelz (UAP)z reportsz thatz az client’sz rightz handz andz fingersz
spasmsz whenz takingz thez bloodz pressurez usingz thez samez arm.z Afterz confirmingz thez presencez
ofz spamsz whatz actionz shouldz thez nursez take?
• Askzthez UAPz toz takez thez bloodz pressurez inz thez otherz arm
• Tellz thez UAPztozusez azdifferentzsphygmomanometer.
• Reviewzthez client’sz serumz calciumz level
• AdministerzPRNz antianxietyz medication.
9. Az 56-years-oldz manz shareszwithz thez nursez thatz hez isz havingz difficultyz makingz decisionz
aboutz terminatingz lifez supportz forz hisz wife.z Whatz isz thez bestz initialz actionz byz thez nurse?
• Providez anz opportunityz forz himz toz clarifyz hisz valuesz relatedz toz thez decision
• Encouragez himz toz sharez memoriesz aboutz hisz lifez withz hisz wifez andz family
• Advisez himz toz seekz severalzopinionsz beforez makingz decision
• Offerztoz contactz thez hospitalz chaplainz orz socialzworkerz tozofferz support.
10. Az clientz isz beingz dischargedz homez afterz beingz treatedz forz heartz failurez(HF).z Whatz
instructionz shouldz thez nursez includez inz thisz client’sz dischargez teachingz plan?
• Weighzeveryzmorning
• Eatz az highz proteinz diet
• Performz rangezofzmotionz exercises
• Limitz fluidz intakez toz 1,500z mlz daily
11. Az womanz justz learnedz thatzshez wasz infectedz withz Heliobacterz pylori.z Basedz onz thisz
finding,z whichz healthz promotionz practicez shouldz thez nursez suggest?
• Encouragez screeningz forz azpepticz ulcer
12. Az clientz whoz recentlyz underwearz az tracheostomyz isz beingz preparedz forz dischargez toz home.
